RT Journal Article T1 Multiplexed biosensing diagnostic platforms detecting autoantibodies to tumor-associated antigens from exosomes released by CRC cells and tissue samples showed high diagnostic ability for colorectal cancer A1 Montero Calle, Ana A1 Aranguren Abeigon, Itziar A1 Garranzo Asensio, María A1 Povés Francés, Carmen A1 Fernández Aceñero, María Jesús A1 Martínez Useros, Javier A1 Sanz López, Rodrigo A1 Dziakova, Jana A1 Rodríguez Cobos, Javier A1 Solís Fernández, Guillermo A1 Povedano, Eloy A1 Gamella Carballo, María A1 Torrente Rodríguez, Rebeca Magnolia A1 Alonso Navarro, Miren A1 Ríos, Vivian de los A1 Casal, J. Ignacio A1 Domínguez Muñóz, Gemma A1 Guzmán Aránguez, Ana Isabel A1 Peláez García, Alberto, Alberto A1 Pingarrón Carrazón, José Manuel A1 Campuzano Ruiz, Susana A1 Barderas Manchado, Rodrigo AB Colorectal cancer (CRC) is the second leading cause of cancer-related death worldwide. The 5-year survival rate of CRC patients depends on the stage at diagnosis, being higher than 80% when CRC is diagnosed in the early stages but lower than 10% when CRC is diagnosed in advanced stages. Autoantibodies against specific CRC autoantigens (tumor-associated antigens (TAAs)) in the sera of patients have been widely demonstrated to aid in early diagnosis. Thus, we herein aim to identify autoantigens target of autoantibodies specific to CRC that possess a significant ability to discriminate between CRC patients and healthy individuals by means of liquid biopsy. To that end, we examined the protein content of the exosomes released by five CRC cell lines and tissue samples from CRC patients by means of immunoprecipitation coupled with mass spectrometry analysis. A total of 103 proteins were identified as potential autoantigens specific to CRC. After bioinformatics and meta-analysis, we selected 15 proteins that are more likely to be actual CRC autoantigens in order to evaluate their role in CRC prognosis by Western blot (WB) and immunohistochemistry (IHC). We found dysregulation at the protein level for 11 of these proteins in both tissue and plasma exosome samples from patients, along with an association of nine of these proteins with CRC prognosis. After validation, all but one showed a statistically significant high diagnostic ability to distinguish CRC patients and individuals with premalignant lesions from healthy individuals, either by luminescence Halotag-based beads, or by a multiplexed biosensing platform involving the use of magnetic microcarriers as solid support modified with covalently immobilized Halotag fusion proteins constructed for CRC detection. Taken together, our results highlight the usefulness of the approach defined here to identify the TAAs specific to chronic diseases; they also demonstrate that the measurement of autoantibody levels in plasma against the TAAs identified here could be integrated into a point-of-care (POC) device for CRC detection with high diagnostic ability. PB Elsevier SN 2095-8099; 2096-0026 (e) YR 2021 FD 2021-08-14 LK https://hdl.handle.net/20.500.14352/4416 UL https://hdl.handle.net/20.500.14352/4416 LA eng NO Received: 30 September 2020 / Revised: 5 February 2021 / Accepted: 27 April 2021 / Available online: 14 August 2021.This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). NO Ministerio de Ciencia e Innovación (MICINN) NO Instituto de Salud Carlos III (ISCIII) NO Comunidad de Madrid NO Ministerio de Economía y Competitividad (MINECO) NO FIS and Cátedra UAM-Roche en Medicina de Innovación NO Comunidad de Madrid DS Docta Complutense RD 8 abr 2025